Search Results (144)

Background: The effective use of electronic health records (EHRs) is an essential clinical skill, but medical schools have traditionally provided limited systematic teaching on the topic. Inefficient use of EHRs results in delays in diagnosis, fragmented care, and clinician burnout. This study investigates the impact on medical students’ confidence, efficiency, and proficiency in extracting clinically pertinent information from patient records following an organised EHR teaching programme. Methods: This observational cohort involved 60 final-year medical students from three London medical schools. Participants received a structured three-phase intervention involving an introductory workshop, case-based hands-on practice, and guided reflection on EHR navigation habits. Pre- and post-intervention testing involved mixed-method surveys, simulated case tasks, and faculty-assessed data retrieval exercises to measure changes in students’ confidence, efficiency, and ability to synthesise patient information. Quantitative data were analysed using paired t-tests, while qualitative reflections were theme-analysed to identify shifts in clinical reasoning. Results: All 60 students successfully finished the intervention and assessments. Pre-intervention, only 28% students reported feeling confident in using EHRs effectively, with a confidence rating of 3.0. Post-intervention, 87% reported confidence with a rating of 4.5 (p < 0.01). Efficiency in the recovery of critical patient information improved from 3.2 to 4.6 (p < 0.01). Students also demonstrated enhanced awareness regarding system-related issues, such as information overload and fragmented documentation, and provided recommendations on enhancing data synthesis for clinical decision making. Conclusions: This study emphasises the value of structured EHR instruction in enhancing the confidence and proficiency of medical students in using electronic records. The integration of structured EHR education to medical curricula can better prepare future physicians in managing information overload, improve diagnostic accuracy, and enhance the quality of patient care. Future research should explore the long-term impact of structured EHR training on clinical performance, diagnostic accuracy, and patient outcomes during real-world clinical placements and postgraduate training. Full article

Background/Objectives: The urine sodium/potassium (Na/K) ratio can potentially be used to detect dietary habits that contribute to hypertension. In this prospective cohort interventional trial, we aimed to verify whether private insurance sales staff can help clients change their lifestyle habits based on their urinalysis results. Methods: Clients of the life insurance company (20–65 years old) who were considered to have “high risk” lifestyle factors, which was defined as having high values for two or more of the following indicators: body mass index, blood pressure, triglycerides, liver enzymes, and glucose metabolism, were included. The clients were randomly assigned to three groups: a face-to-face (FF) intervention by sales staff (n = 83), non-FF (Non-FF) intervention via a social networking service (n = 87), and no intervention (Control) (n = 58). Urinalysis and surveys about diet and exercise habits were conducted before and after a 3-month interventional period in all groups. Three interventions were performed for the FF and Non-FF groups, including dietary advice based on urinalysis results, education encouraging reduced salt intake and increased locomotor activity, and viewing an educational video. The Control group only received their urinalysis results by mail. Results: The participants’ mean age was 44.0 years old. Significant improvements in estimated potassium intake were observed in the Non-FF group, and significant reductions in urine Na/K ratios were noted in both the FF and Non-FF groups. Multiple logistic regression analysis indicated that watching the video was the most effective factor for decreasing the urine Na/K ratio (odds ratio = 1.869). The total points for dietary behavior, based on the questionnaire, significantly improved among the individuals who watched the video. Conclusions: This study demonstrates the potential for private health insurance companies to contribute to health promotion and introduces a novel strategy for improving lifestyle habits among individuals at high risk of lifestyle-related diseases. Full article

This study aimed to determine whether hand grip strength (HGS) could estimate the physical function of older women with or without obesity or sarcopenia in South Jeolla Province, South Korea. Methods: A total of 541 elderly women aged 60–95 years (mean age: 79.87 ± 6.64) participated in the study. Physical function was assessed using HGS, 10 m walk test, figure-of-8 walk test, and 30-s chair stand test. Among the participants, 400 (76.8%) were classified as obese, and 137 (26.3%) had sarcopenia. Results: Results showed that HGS was significantly lower in the sarcopenic group (16.58 ± 2.86 kg) than in the normal group (24.31 ± 3.33 kg, p < 0.001). HGS was negatively correlated with body fat (r = −0.146, p = 0.001) and positively correlated with physical performance. Additionally, exercise habits were significantly associated with reduced obesity risk (OR = 0.592, p = 0.027). This study was approved by the Institutional Review Board of Chonnam National University (IRB No. 1040198-220210-BR-009-03). The significance of hand grip strength was comparable to that of gait speed, walking capacity, coordination, and balance function. Conclusions: These findings suggest that grip strength can serve as a physical indicator of healthy condition and physical function with or without sarcopenia or obesity in older women. Full article

Background: With the increasing prevalence of sedentary lifestyles and childhood obesity, physical activity and exercise have emerged as essential pillars of health promotion in childhood. In this context, schools play a fundamental role as key players in the implementation of interventions that promote healthy habits and a more physically active life. Objectives: The purpose of the present study was to conduct a systematic review of the benefits of strength training in primary school students. Methods: The review was carried out using the Web of Science and Scopus databases, following the guidelines of the PRISMA statement and a PICO strategy. The studies were selected according to different inclusion and exclusion criteria, resulting in 11 scientific articles published in English during the last 5 years (2020–2024). The methodological quality of the studies was assessed using the STROBE checklist. Results: The results suggest that strength training with elementary school students improves physical and motor performance variables, as well as cognitive, psychosocial and health variables. Likewise, it can be observed that plyometric strength-training methods and unilateral and combined programs with aerobic and motor skills training are highly effective and favor adherence to physical exercise. This also demonstrates the importance and necessity of developing motor coordination skills from an early age, since they represent a determining factor in strength training as the exercises become more specific and complex. Conclusions: In conclusion, implementing strength training programs in primary education confers several benefits at an integral level for the students and is crucial to improving the lifestyle and quality of life of students. Full article

Objectives: Resistance training can improve body composition and physical function during and after breast cancer treatment and improve quality of life. It is unclear whether these changes persist once a person is no longer actively enrolled in a structured exercise regimen. Thus, we analyzed participants from the EXERT-BC protocol, assessing an intense exercise regimen in women with breast cancer at one year. Methods: All the participants were asked to undergo reassessment at one year. Current exercise habits, injuries, changes in medical history, body composition, handgrip strength, functional mobility and balance, and patient-reported quality of life were assessed. Pairwise comparison was performed via the paired t test. Results: Out of 40 initial participants, 33 returned for reevaluation, with 6 lost to follow-up and 1 with unrelated hospitalization. The median age was 57.8 years, and stage at diagnosis was 1. Weekly exercise was reported by 16 participants (48.5%), with 14 of the 16 following structured resistance training. Between completion of the EXERT-BC and one year follow-up, five women (15.2%) experienced musculoskeletal injuries, which inhibited their ability to exercise. Three women (9%), who were no longer exercising experienced orthopedic injuries requiring medical intervention. The significant reduction in percent body fat, total body fat, excess fat, and increases in muscle mass, resting metabolic rate, and whole-body phase angle dissipated at 1 year. Activity levels and quality of life were no longer significantly improved. However, strength, mobility, and balance remained significantly improved versus pre-exercise measurements, whether a participant was still engaged in exercise or not. Conclusions: After a 3-month dose-escalated resistance training regimen, exercise compliance was poor at one year. The anthropomorphic benefits of the regimen regressed by one year; however, the improvements in strength, balance, and mobility persisted. Full article

According to the 2022 Korean Society of Lipidology and Atherosclerosis, in Korea, dyslipidemia is a common disease that occurs in 40.2% of adults aged 20 or older, and its prevalence increases with age. Although dyslipidemia has a high prevalence of 47.8% in adults aged 30 or older, it is known to be preventable and manageable through lifestyle improvements in areas including eating habits, alcohol consumption, smoking, and physical activity. In this study, we propose a model for predicting age-specific dyslipidemia risk factors according to adult health behavior characteristics and diet. By analyzing the correlation between age-specific health behaviors and diet and the presence or absence of dyslipidemia, we aimed to predict dyslipidemia risk factors through a combination of multiple factor variables. This study utilized data from the 8th National Health and Nutrition Examination Survey, and selected 12,028 adults who received a doctor’s diagnosis of dyslipidemia as the subjects. In order to compare the characteristics of the dyslipidemia diagnosis group and the non-diagnosed group, a Rao–Scott χ² test was performed, and machine learning-based logistic regression and decision tree analyses were performed to predict the dyslipidemia risk factors. Analyzing the difference in the dyslipidemia prevalence according to the general characteristics and health status showed no significant difference between the men and women in the 19–34, 35–49, and 50–64 age groups, but there was a significant difference in the dyslipidemia prevalence in the 65 and older group. It was found that the dyslipidemia risk also increased with age. In terms of health behavior characteristics, the alcohol intake frequency and aerobic exercise frequency were found to have statistically significant effects and, in terms of eating habits, the breakfast frequency and dining out frequency were found to be significant factor variables in the dyslipidemia prevalence. As a result of the decision tree analysis, the most important dyslipidemia predictive factor showed differences according to the age group. The most important predictive variable for the presence or absence of dyslipidemia in the 19–34 age group was the BMI; for the 35–49 age group, it was gender and subjective health perception; for the 50–64 age group, it was subjective health perception and the BMI; and for the 65 and older group, it was the BMI. This suggests that healthy eating habits and behaviors such as aerobic exercise are very important for preventing and managing dyslipidemia as age increases. Full article

Background: This study aims to identify the factors related to demographic variables and physical performance associated with quality of life (QoL) in post-COVID-19 pa-tients who have recovered from mild infection and were not hospitalized. Methods: Seventy-four post-COVID-19 individuals who recovered from mild COVID-19 infec-tion were assessed for the baseline demographic variables (age, sex, height, weight, body mass index; BMI) and clinical information (comorbidities, duration of COVID-19 infection, and exercise habits). Vital signs (heart rate, blood pressure, and oxygen sat-uration; SpO₂) were measured. Physical performance was evaluated for upper- and lower-limb muscle strength, ability of balance, and cardiorespiratory performance. All participants were assessed for QoL. Results: Hand grip strength was negatively asso-ciated with gender and age while positively associated with the duration of COVID-19. Quadricep strength also showed a negative association with gender and duration of COVID-19. Age was positively associated with multiple quality of life dimensions, while emotional role limitations were negatively associated with the duration of COVID-19 and waist circumference. Mental health was negatively linked to BMI. Conclusions: This study highlights the complex impact of COVID-19 on physical per-formance and QoL, revealing that older adults often report better QoL despite reduced muscle strength, particularly in women. The findings emphasize the need for targeted rehabilitation programs addressing both physical and emotional health for vulnerable groups. Full article

Background/Objectives: Hydration and nutrition are two key aspects of high-quality athletic performance. However, little is known about the potential beneficial effects of functional foods in sports. The present study investigates the hydration statuses of and knowledge, dietary habits, and consumption of functional foods among football athletes, both professional (n = 24) and non-professional (n = 20). Methods: The study sample had a mean age of 19.9 ± 4.9 years, a mean weight of 74.0 ± 6.0 kg, and a mean body mass index (BMI) of 23.0 ± 1.40 km/m². All the athletes filled out a questionnaire about their hydration knowledge regarding sports and a functional food consumption questionnaire. Hydration status was assessed through urine color (Ucol) before and after training. Results: The results of this study show that 65% of the non-professional and 59.1% of the professional football players started their training dehydrated, and this proportion increased to 73.7% at the end of the training. Moreover, >50% of athletes were poorly educated in hydration practices during and after exercise. In addition, nutritional habits differences were observed among the professional and non-professional athletes regarding alcohol consumption (p < 0.0001) and fries (p < 0.05). Conclusions: A comprehensive understanding of and tailored approaches to nutrition and hydration need to be promoted among football athletes to realize the benefits of hydration and nutritional strategies that optimize their physiological resilience and competitive edges. Full article

Background: Metabolic syndrome (MS) is a cluster of cardiovascular and metabolic risk factors that increase the likelihood of both acute events and chronic conditions. While exercise has been shown to improve individual risk factors associated with MS; research on its effects on MS as an integrated condition remains limited. This study aims to evaluate the effectiveness of a 6-month Adapted Personalized Motor Activity (AMPA) program for improving the health outcomes of individuals with MS. Methods: Seventy-one sedentary participants with MS (mean age: 63 ± 9.4 years, 46.5% female) completed a 6-month intervention, incorporating moderate-intensity aerobic and resistance training. Each participant received a personalized exercise plan prescribed by a sports medicine physician. The training was monitored via telemetry to ensure safety. No dietary recommendations were provided during the intervention. Baseline and post-intervention assessments included Cardiopulmonary Exercise Testing (CPET), anthropometric measurements, blood pressure, heart rate, lipid profile (total cholesterol, HDL, LDL, and triglycerides), fasting glucose, and HbA1c. Results: Significant improvements were observed in fasting glucose (−10.6%, p < 0.001), HbA1c (−3.88%, p < 0.001), HDL cholesterol (+20.8%, p < 0.001), LDL cholesterol (−25.1%, p < 0.001), and VO₂max (+8.6%, p < 0.001). Systolic and diastolic blood pressure also decreased significantly, with reductions of −12% (p < 0.001) and −5.9% (p < 0.001), respectively. Reductions in weight and waist circumference were statistically significant but modest and clinically irrelevant, showing no correlation with improvements in cardio-metabolic parameters. Logistic regression and correlation matrix analyses were performed to identify key predictors of changes in individual risk factors. Conclusions: While personalized exercise alone may not fully control individual risk factors of metabolic syndrome, its overall effect is comparable to low-intensity pharmacological polytherapy with minimal adverse effects. These benefits appear to be independent of dietary habits, gender, and both baseline and post-intervention physical performance and anthropometric measures. Full article

Time-of-day and individual circadian variability influence cognitive performance, with later chronotypes being most compromised earlier in the day. On the other hand, moderate-intensity exercise has been shown to enhance cognitive function. We sought to evaluate the interplay among circadian rhythms, exercise, and cognitive performance in 22 students from the Uruguayan National Dance School, a population previously characterized as late chronotypes, attending a demanding morning schedule. We assessed sleep habits and physical activity patterns using self-report questionnaires and actigraphy. Before and after morning training, participants completed a psychomotor vigilance task (PVT) and a visual Stroop task (congruent and incongruent). The reaction speeds were lower early in the morning than at noon for all these tasks. We also found (1) a positive correlation between weekend sleep duration and PVT performance before training but not after; (2) a negative correlation between individual circadian phase and Stroop performance for both congruent and incongruent conditions after training but not before; and (3) a better Stroop performance after training for both congruent and incongruent conditions in dancers who engaged longer moderate-intensity exercise during training. Our findings suggest that regular morning training might help mitigate cognitive impairments experienced by dancers with later chronotypes in challenging morning scenarios. Full article

Traditional screening methods for Mild Cognitive Impairment (MCI) face limitations in accessibility and scalability. To address this, we developed and validated a speech-based automatic screening app implementing three speech–language tasks with user-centered design and server–client architecture. The app integrates automated speech processing and SVM classifiers for MCI detection. Functionality validation included comparison with manual assessment and testing in real-world settings (n = 12), with user engagement evaluated separately (n = 22). The app showed comparable performance with manual assessment (F1 = 0.93 vs. 0.95) and maintained reliability in real-world settings (F1 = 0.86). Task engagement significantly influenced speech patterns: users rating tasks as “most interesting” produced more speech content (p < 0.05), though behavioral observations showed consistent cognitive processing across perception groups. User engagement analysis revealed high technology acceptance (86%) across educational backgrounds, with daily cognitive exercise habits significantly predicting task benefit perception (H = 9.385, p < 0.01). Notably, perceived task difficulty showed no significant correlation with cognitive performance (p = 0.119), suggesting the system’s accessibility to users of varying abilities. While preliminary, the mobile app demonstrated both robust assessment capabilities and sustained user engagement, suggesting the potential viability of widespread cognitive screening in the geriatric population. Full article

Introduction: T2DM mellitus (T2DM) is a major global health issue associated with significant morbidity, mortality, and economic burden. While the role of lifestyle factors in glycemic control is well-established, the influence of oral health behaviors remains underexplored. Objective: This study aimed to investigate the interplay between lifestyle habits, oral health behaviors, and glycemic control in patients with T2DM. Methodology: A cross-sectional study was conducted on 132 patients (66 men and 66 women) with T2DM at the Pius Brînzeu Emergency Hospital in Timișoara, Romania. Data on smoking, physical activity, alcohol consumption, tooth brushing frequency, and dental visits were collected using structured questionnaires, and glycemic control was assessed through HbA1c measurements. Statistical analyses, including Pearson correlations and linear regression, were performed. Results: Among men, HbA1c levels were negatively associated with exercise frequency (ß = −0.26, p < 0.05) and education level (correlation coefficient −0.27, p < 0.05), and positively associated with dental visits and tooth brushing frequency (correlation coefficient 0.26, p < 0.05). In the combined analysis, education level positively correlated with both dental visits (correlation coefficient 0.24, p < 0.01) and alcohol consumption (correlation coefficient 0.22, p < 0.05). Conclusions: These findings underscore the importance of integrating oral health and lifestyle interventions into diabetes management to optimize patient outcomes. Full article

Background/Objectives: Chronic migraine (CM) is a neurological disorder that causes significant disability, loss of productivity, and economic burden. Preventive treatments, including pharmacological and educational interventions, are crucial for managing CM effectively. The aim of this study was to analyze whether adding a therapeutic telehealth education program (TTEP) to pharmacological treatment achieved a greater reduction in the number of headache days experienced by patients with CM. Methods: A randomized, double-blind, controlled pilot study with two parallel groups was performed. Patients with a diagnosis of CM and who were being treated with Botulinum Toxin were randomly assigned to either the EG (therapeutic education program about the neuroscience of pain, migraine, pain strategies, sleep habits, exercise, nutrition, postural habits, and relaxation strategies) or CG (general health recommendations with no specific content about migraine). The intervention lasted a total of eight weeks and was delivered via a telehealth application (APP). Headache frequency, migraine frequency, pain intensity, headache impact, allodynia, fear of movement, pain catastrophizing, chronic pain self-efficacy, anxiety and depression, sleep quality, and sedentary lifestyle were measured at baseline (M0), one month after the intervention started (M1), at the end of the intervention (M2), and one month after the intervention was completed for follow-up (M3). Results: In total, 48 patients participated. There were differences between the groups in the following outcomes in favor of EG for headache frequency at the one-month follow-up (p = 0.03; d = 0.681); chronic pain self-efficacy at post-treatment (p = 0.007; d = 0.885) and at the one-month follow-up (p < 0.001; d = 0.998); and sleep quality at post-treatment (p = 0.013; d = 0.786) and at the one-month follow-up (p < 0.001; d = 1.086). No differences existed between the groups for the other outcomes examined (p < 0.05). Conclusions: The use of TTEP reduced the number of headache days, improved sleep quality, and increased self-efficacy in managing pain. This pilot study suggests that the addition of a specialized TTPE to pharmacological treatments may be more effective than a general health recommendation program for migraine. Full article

The acute effects of a foam rolling intervention on lactate clearance and the impaired executive function associated with fatigue after high-intensity exercise remain unclear. This study examined whether foam rolling is an effective tool for fatigue recovery. Eighteen healthy adults without consistent exercise habits participated in this study. Participants performed high-intensity exercises, and the post-exercise foam rolling intervention was compared to the control condition. Measurements included lactate, vigor/fatigue by the Profile of Mood States 2nd Edition, cognitive function (cognitive task performance), leg and body rating of perceived exertion pre- and post-exercise, and post-intervention. Blood lactate concentrations post-foam rolling intervention (−7.3 ± 3.0 mmol/L) were significantly reduced among all participants. Increased lactate clearance by foam rolling correlated with a faster recovery of executive function for those with greater lactate clearance. However, cognitive fatigue was not observed after high-intensity exercise (p = 0.086, r = 0.41). Lactate clearance was not significantly correlated with the rating of perceived exertion in the foam rolling condition. The rating of the perceived exertion decreased with increased lactate clearance for those with greater lactate clearance in the control condition (leg: r = 0.778; body: r = 0.669). In conclusion, foam rolling intervention may be effective for exhausting exercise recovery. Full article

Background: The ongoing COVID-19 pandemic has infected more than 500 million people worldwide. Several measures have been taken to reduce the spread of the virus and the saturation of intensive care units: among them, a lockdown (LD) was declared in Italy on 9 March 2020. As a result, gyms, public parks, sports fields, outdoor play areas, schools, and multiple commercial activities have been closed. The consequences of physical inactivity can be dramatic in adult patients with congenital heart disease (ACHD), in which the benefit of regular exercise is well known. In this study, we investigated the effects of reduced physical activity during the COVID-19 pandemic on ACHD’s exercise capacity. Materials and Methods: Patients who performed exercise or cardiopulmonary exercise tests from October 2019 to February 2020 and one year after lockdown with the same protocol were retrospectively enrolled in our database. Inclusion criteria: ACHD patients aged ≥ 18 years old under regular follow-up. Exclusion criteria: significant clinical and/or therapeutic changes between the two tests; significant illness occurred between the two tests, including COVID-19 infection; interruption of one of the tests for reasons other than muscle exhaustion. Results: Thirty-eight patients (55.6% males) met the inclusion criteria. Before the lockdown, 17 patients (group A) were engaged in regular physical activity (RPA), and 20 patients (group B) had a sedentary lifestyle. After LD, in group A, (a) the weekly amount of physical activity reduced with statistical significance from 115 ± 46 min/week to 91 ± 64 min/week (−21%, p = 0.03); (b) the BMI did not change; (c) the duration of exercise test and VO2 max at cardiopulmonary exercise test showed a significant reduction after the LD. In group B, BMI and exercise parameters did not show any difference. Conclusions: The COVID-19 pandemic dramatically changed the habits of ACHD patients, significantly reducing their possibility to exercise. Our data analyzed in this extraordinary situation again demonstrated that physical inactivity in ACHD worsens functional capacity, as highlighted by VO2 max. Regular exercise should be encouraged in ACHD patients to preserve functional capacity. Full article